周婷基于经筋理论分期论治亨特氏综合征临床经验

ZHOU Ting’s Clinical Experience in Treating Hunter Syndrome by Stages based on the Meridian Theory

拉姆齐-亨特综合征(Ramsay Hunt syndrome,RHS)是一种由水痘-带状疱疹病毒重新激活侵犯面神经膝状神经节导致剧烈耳痛,耳聋,眩晕及面瘫的综合征,病情重、预后差,是临床难治性面瘫类型。目前的西医治疗对面瘫改善情况并不理想。周婷主任医师善于将传统针灸理论与现代医学相结合,认为RHS病因病机为正邪相争、经筋失养,病位在头面三阳经筋。根据疾病不同阶段采取不同治疗手段,急性期浅刺配合艾灸主驱邪兼扶正;恢复期透刺结合电针强调疏通经筋,驱邪与扶正并举;后遗症期以透刺结合滞针提拉手法调和气血,柔筋解痉。针对不同阶段灵活调整不同针刺方法及治疗方案,分期治疗,可提高临床治疗RHS的疗效。

Ramsay Hunt syndrome(RHS)is a syndrome caused by the reactivation of the varicella-zoster virus and invasion of the geniculate ganglion of the facial nerve,resulting in severe earache,deafness,vertigo and facial paralysis.The condition is serious.,the prognosis is poor and it is a type of clinically refractory facial paralysis.Current Western medical treatments are not ideal for improving facial paralysis.Chief Physician ZHOU Ting is good at combining tradi-tional acupuncture theory with modern medicine.She believes that the cause and pathogenesis of RHS are the conflict between good and evil,and the malnutrition of the meridians.The disease is located in the three yang meridians of the head and face.Different treatment methods are adopted according to different stages of the disease.In the acute stage,shallow acupuncture combined with moxibustion focuses on expelling evil spirits and strengthening the body;in the re-covery stage,penetrating acupuncture combined with electroacupuncture emphasizes dredging the meridians,expelling evil spirits and strengthening the body;in the sequelae stage,penetrating acupuncture combined with stagnant needle lifting techniques are used to reconcile Qi and blood,softening muscles and relieving spasm.Flexible adjustment of different acupuncture methods and treatment plans according to different stages,and staged treatment can improve the efficacy of clinical treatment of RHS.